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Organization
OPULISE LLC
Active
Organization
OPULISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENITA LOIS ADIRA SUDRC III (MANAGER)
(442) 473-9345
Entity
Organization
Contact information
Practice address
9431 HAVEN AVE STE 100-1049, RANCHO CUCAMONGA, CA 91730-5878
(442) 473-9345
Mailing address
9431 HAVEN AVE, SUITE 100 PMB 1049, RANCHO CUCAMONGA, CA 91730
(442) 473-9345
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
10/07/2026
Last updated
10/07/2026
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